1 Magnet Hospitals as Living Classrooms: A Paradigm Shift in Clinical Education https://brieflands.com/journals/semj/articles/169388 10.5812/semj-169388 1 This article has no abstract regards to the type of article 1 2 Nazanin Shamaeian Razavi Department of Midwifery, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran Iran nazaninshrazaviii@gmail.com Sedigheh Abbaspour Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran Iran abbaspour8083@gmail.com No Keyword 1.pdf [0]Rodríguez-García MC, et al.How Magnet Hospital Status Affects Nurses, Patients, and Organizations: A Systematic Review. Am J Nurs. 2020. [PubMed ID: 32541337]. [PubMed Central ID: PMC12593840].##[1]Bilgin N, Ozmen D.Mortality in Magnet Hospitals: A Systematic Review. Niger J Clin Pract. 2022. [PubMed ID: 35975364].##[2]Connor L, et al.The Association Between Magnet® Recognition and Patient Outcomes: A Scoping Review. JONA. 2023. [PubMed ID: 37695278]. doi: 10.1097/NNA.0000000000001325.##[3]Ebadi A, et al.Feasibility Study of Using the Magnet Hospital Model in Improving Quality of Nursing Care in Iran. J Res Dev Nurs Midwifery. 2025.##[4]Ashrafizadeh H, Ebadi A, Rassouli M.The Importance of Paying Attention to the Magnet Hospital Project in Iran. Nurs Pract Today. 2024. doi: 10.18502/npt.v11i2.15401.##[5]Askari R, et al.Investigating the Realization of Magnet Hospital Components in Educational Hospitals of Shahid Sadoughi University of Medical Sciences-Yazd. BMC Public Health. 2020. doi: 10.18502/jebhpme.v4i3.4165.##[6]Rivaz M, Ebadi A, Momennasab M.The Role of Magnet Hospitals in Making the Nursing Practice Environment Attractive. Journal of Hayat. 2018;23(4):290-294.##[7]Jafar yeganeh B, ghasemi M.Investigating the Possibility of Implementing the Magnet Hospital Attributes and Its Impact on Nurses Job Satisfaction. jhosp. 2018;17(1):77-86.##[8]Seyyedmoharrami I, Shamaeian-Razavi N, Rashidi A, Alizadeh-Ghandashi AR.The Mediating Role of Job Resilience in the Relationship Between Humble Leadership and Teachers' Responsibility. Work. 2025;81(3):2898-2906. [PubMed ID: 40223280]. doi: 10.1177/10519815251324013.##[9]Mastour H, Shamaeian Razavi N, Sohrabi S.Enhancing Medical Education: Learning Engineering and Technologies for Training Future Healthcare Professionals. Strides Dev Med Educ. 2025;22(1):1-2. doi: 10.22062/sdme.2025.200504.1468.##[10]Shamaeian Razavi N, Mastour H.Beyond the White Coat: Unveiling the Dynamic Role of Personality in Medical Education. Scientific Reports. 2024;25(8):e146414. doi: 10.5812/semj-146414.##

1 Internet Addiction, Anxiety, and Salivary Cortisol Among Medical Students in Northern Iran in 2022 https://brieflands.com/journals/semj/articles/161935 10.5812/semj-161935 1 Background :The occurrence of extreme behaviors and their detrimental impacts, particularly Internet addiction (IA) among students, have drawn the attention of researchers in contrast to the positive uses of the internet.Objectives :The purpose of this study was to evaluate the correlation between medical students' salivary cortisol levels, anxiety levels, and IA. Methods :One hundred and ten (110) medical interns from Golestan University of Medical Sciences in Gorgan, Iran, participated in this descriptive, analytical, cross-sectional study. A checklist was used to obtain demographic data. Internet addiction was assessed using the Young Internet Addiction Test (IAT), while anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HAM-A). Additionally, a saliva sample was taken early in the morning to examine the correlation between IA and salivary cortisol levels. Results :The subjects' average age was 24.69 ± 1.18 years. The participants' salivary cortisol levels were 5.57 ± 3.20 µg/dL. There was a significant difference in the IAT score for IA between the male and female groups (50.42 ± 24.11 vs. 41.09 ± 22.36, respectively, P = 0.008). The following pupils were categorized as having mild, moderate, and severe IA: 54 (49.1%), 34 (30.9%), and 22 (20%). The male and female groups did not differ substantially in their anxiety Hamilton test scores (29.22 ± 10.95 vs. 28.05 ± 12.02, respectively, P = 0.682). A statistically significant difference was observed in the anxiety scores for mild, moderate, and severe IA categories (P = 0.035). Conclusions :Nearly 20% of medical students suffer from severe IA. The study's conclusions demonstrated a significant correlation between higher levels of anxiety disorders and the intensity of IA. 1 7 Aida Hashemifar Golestan Research Center of Psychiatry (GRCP), Golestan University of Medical Sciences, Gorgan, Iran Iran aida.hfd91@gmail.com Mohammad Salehi Golestan Research Center of Psychiatry (GRCP), Golestan University of Medical Sciences, Gorgan, Iran Iran psychiatry123@yahoo.com Asma Razman Golestan Research Center of Psychiatry (GRCP), Golestan University of Medical Sciences, Gorgan, Iran Department of Radiology, School of Medicine, 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran Iran Iran asmarazmann@gmail.com Arun Vangivarapu Leicestershire Partnership NHS Trust, Leicester, United Kingdom United Kingdom arun.vangivarapu1@nhs.net Najmeh Shahini Golestan Research Center of Psychiatry (GRCP), Golestan University of Medical Sciences, Gorgan, Iran Leicestershire Partnership NHS Trust, Leicester, United Kingdom Erdington & Kingstanding CMHT, Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham, United Kingdom Iran United Kingdom United Kingdom najmeh.shahini@nhs.net No Keyword 2.pdf [0]Mihajlov M, Vejmelka L.Internet Addiction: A Review of the First Twenty Years. 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[PubMed ID: 11710265]. doi: 10.1089/109493101300210303.##[9]Deb N, Roy P.Internet addiction, depression, anxiety and stress among first year medical students after COVID-19 lockdown: A cross sectional study in West Bengal, India. J Family Med Prim Care. 2022;11(10):6402-6. [PubMed ID: 36618151]. [PubMed Central ID: PMC9810868]. doi: 10.4103/jfmpc.jfmpc_809_22.##[10]Zafari H, Rafiemanesh H, Balouchi A.Internet addiction among Iranian medical students: a systematic review. Med Sci. 2018;22(94):518-24.##[11]Hayat AA, Kojuri J, Amini M.Academic procrastination of medical students: The role of Internet addiction. J Adv Med Educ Prof. 2020;8(2):83-9. [PubMed ID: 32426392]. [PubMed Central ID: PMC7188941]. doi: 10.30476/JAMP.2020.85000.1159.##[12]Miles J, Dong G, Lu Q, Zhou H, Zhao X.Precursor or Sequela: Pathological Disorders in People with Internet Addiction Disorder. PLoS ONE. 2011;6(2). [PubMed ID: 21358822]. 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1 Impact of Recommended Patients on Hospital Services and Professional Interactions: A Qualitative Study https://brieflands.com/journals/semj/articles/167751 10.5812/semj-167751 1 Background :In hospital settings, equitable care requires that patients with similar clinical needs receive comparable services. However, “recommended patients” (those introduced through personal or political connections) often experience expedited access and preferential treatment, creating disparities in service delivery. Objectives :This qualitative study aimed to explore how the presence of recommended patients influences (1) the provision of services to other patients, (2) clinical treatment processes, and (3) professional interactions among healthcare staff in Iranian teaching hospitals. Methods :Using a purposive sampling strategy, we recruited 14 participants (physicians, nurses, and hospital administrators) with at least five years of direct, continuous experience in hospital service provision. Data were collected through semi-structured interviews, transcribed verbatim, and analyzed via inductive content analysis. Results :A total of 4 categories and 12 subcategories were extracted in this study. The first category was “The Referring Authority and Strategies of Influence” with four subcategories. The others were “Recommended Patient Reaction”, which had 2 subcategories, “Reaction and Effect on Treatment Process and Health Care Provider”, which had 4 subcategories, and “Reactions of Other Patients,” which had 2 subcategories. Conclusions :This study illustrates that, despite their limited numbers, recommended patients are perceived to substantially affect hospital dynamics. They shape service quality for non‑recommended patients, increase staff workload, and alter the professional atmosphere. The findings highlight the need for systemic interventions to promote equity and transparency in Iranian hospital settings. 1 8 Paria Kazemi School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Iran pariakz529@gmail.com Mahboobeh Saber Department of Medical Ethics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Iran saber_mahboobeh@yahoo.com No Keyword 3.pdf [0]Weintraub W."The Vip Syndrome": A Clinical Study in Hospital Psychiatry. J Nerv Ment Dis. 1964;138:181-93. [PubMed ID: 14119515].##[1]Mariano EC, McLeod JA.Emergency Care for the VIP Patient. In: Vincent J, editor. Intensive Care Medicine. Heidelberg, Germany: Springer; 2007. p. 969-75. doi: 10.1007/978-3-540-49433-1_88.##[2]Gainer D, Cowan AE.The Very Important Patient. Innov Clin Neurosci. 2019;16(7-8):25-8. [PubMed ID: 31832261]. [PubMed Central ID: PMC6850500].##[3]Diekema DS.The preferential treatment of VIPs in the emergency department. Am J Emerg Med. 1996;14(2):226-9. [PubMed ID: 8924151]. doi: 10.1016/S0735-6757(96)90137-0.##[4]Block AJ.Beware of the VIP syndrome. Chest. 1993;104(4):989. [PubMed ID: 8404234]. doi: 10.1378/chest.104.4.989b.##[5]Alfandre D, Clever S, Farber NJ, Hughes MT, Redstone P, Lehmann LS.Caring for 'Very Important Patients'--Ethical Dilemmas and Suggestions for Practical Management. Am J Med. 2016;129(2):143-7. [PubMed ID: 26522793]. doi: 10.1016/j.amjmed.2015.09.019.##[6]Avery J, Knoepflmacher D, Mehta N, Penzner J.VIP Patients: An Unexpectedly Vulnerable Population. In: Parekh R, Childs EW, editors. Stigma and Prejudice. Cham, Switzerland: Humana Cham; 2016. p. 103-11. doi: 10.1007/978-3-319-27580-2_6.##[7]Fromme EK, Farber NJ, Babbott SF, Pickett ME, Beasley BW.What do you do when your loved one is ill? The line between physician and family member. Ann Intern Med. 2008;149(11):825-31. [PubMed ID: 19047031]. doi: 10.7326/0003-4819-149-11-200812020-00011.##[8]McIntosh JT.V.I.P. care: Ethical dilemmas and recommendations for nurses. Nurs Ethics. 2020;27(3):809-20. [PubMed ID: 31757188]. doi: 10.1177/0969733019878833.##[9]Abbasi M, Zamani M, Ganjbakhsh M.[Justice in medical ethics]. Justice Med. 2010;3(10):11-33.FA.##[10]Pager CK, McCluskey PJ.Public versus private patient priorities and satisfaction in cataract surgery. Clin Exp Ophthalmol. 2004;32(5):482-7. [PubMed ID: 15498059]. doi: 10.1111/j.1442-9071.2004.00868.x.##[11]Sheffield V, Smith LB.Requests for VIP Treatment in Pathology: Implications for Social Justice and Systems-Based Practice. AMA J Ethics. 2016;18(8):786-92. [PubMed ID: 27550562]. doi: 10.1001/journalofethics.2016.18.8.ecas4-1608.##[12]Dinwiddie SH.Potential Medicolegal Issues in the Care of the VIP Patient. Psychiatr Ann. 2012;42(1):33-7. doi: 10.3928/00485713-20111229-08.##[13]Antoine Douaihy JK.Very Important Person Syndrome in Patients with Substance Use Disorders. J Alcohol Drug Depend. 2015;3(1). doi: 10.4172/2329-6488.1000183.##[14]Smally AJ, Carroll B, Carius M, Tilden F, Werdmann M.Treatment of VIPs. Ann Emerg Med. 2011;58(4):397-8. [PubMed ID: 21943580]. doi: 10.1016/j.annemergmed.2011.05.009.##[15]Silverman BC, Asby A, Brendel DH, Choras P, Chu JA, Holman J, et al.Psychiatric Treatment of the VIP. J Nerv Ment Dis. 2012;200(6):545-8. doi: 10.1097/NMD.0b013e318257c805.##[16]Nurok M, Gewertz B.The High-Profile Patient-Ensuring Good Care for the Entire Hospital. JAMA Surg. 2019;154(2):105-6. [PubMed ID: 30427981]. doi: 10.1001/jamasurg.2018.3537.##[17]Geiderman JM, Malik S, McCarthy JJ, Jagoda A.The care of VIPs in the emergency department: Triage, treatment and ethics. Am J Emerg Med. 2018;36(10):1881-5. [PubMed ID: 30238911]. doi: 10.1016/j.ajem.2018.07.009.##[18]Rooddehghan Z, Nasrabadi AN, Parsa Yekta Z.Components of equity-oriented health care system: perspective of Iranian nurses. Glob J Health Sci. 2014;7(2):94-100. [PubMed ID: 25716398]. [PubMed Central ID: PMC4796496]. doi: 10.5539/gjhs.v7n2p94.##[19]Rooddehghan Z, Nikbakht nasrabadi A, Parsa Yekta Z, Salehiparsa yekta M.Patient Favoritism as a Barrier to Justice in Health Care: A Qualitative Study. Health Spiritual Med Ethics. 2019;6(4):29-35. doi: 10.29252/jhsme.6.4.29.##[20]Hosseinabadi-Farahani M, Fallahi-Khoshknab M, Arsalani N, Hosseini M, Mohammadi E.Justice and unintentional discrimination in health care: A qualitative content analysis. J Educ Health Promot. 2021;10:51. [PubMed ID: 34084798]. [PubMed Central ID: PMC8057166]. doi: 10.4103/jehp.jehp_885_20.##

1 Perceived Organizational Support and Its Relationship with Anxiety and Depression Among Neonatal Nurses: A Lesson from COVID-19 for Future Health Crises https://brieflands.com/journals/semj/articles/163849 10.5812/semj-163849 1 Background :Neonatal nurses may experience anxiety and depression, which can contribute to increased turnover rates. Although some studies have reported correlations among perceived organizational support (POS), anxiety, and depression, empirical evidence remains limited. Objectives :This study aimed to examine the relationship between POS, anxiety, and depression in neonatal nurses. Methods :In this cross-sectional study, data were collected from 306 neonatal nurses using a consecutive sampling technique in Tehran, Iran. Data were collected using online scales, including POS and the Hospital Anxiety and Depression Scales (HADSs) from December 2020 to January 2021. For data analysis, the t-test, Pearson correlation coefficients, analysis of variance (ANOVA), and multiple linear regressions were performed using Statistical Package for Social Sciences (SPSS) version 16. Results :The neonatal nurses' POS score was below 50% of the maximum possible score. More than half of the nurses reported mild to severe anxiety and depression [52.9% (n = 162); 58.2% (n = 178)]. A moderate inverse correlation was observed between anxiety and POS (R = -0.359, P < 0.001), and a slight inverse correlation was found between depression and POS (R = -0.303, P < 0.001). Analysis showed that POS was significantly correlated with age (R = 0.137; P = 0.017) and employment status (F = 5.044; P = 0.007) among neonatal nurses. Regression analysis indicated that anxiety was the only statistically significant predictor of POS (β = -0.274, P < 0.001; R² = 0.157). Conclusions :Healthcare managers play a crucial role in reducing depression, especially anxiety, by increasing POS interventions, thus leading to more effective neonatal care. Moreover, improving leadership styles and training nurses on coping methods in the face of global pandemics are highly recommended. Therefore, managers and policy-makers in this sector should adopt measures to optimize POS initiatives. 1 7 Sona Koochakaghaei Department of Pediatric Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran Iran s.koochakaghaei@gmail.com Sedigheh Khanjari Department of Pediatric Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran Iran sed.khanjari@gmail.com Akhtar Ebrahimi Ghassemi Department of Psychology, Southern New Hampshire University, Manchester, United States of America United States of America aghassemi11@gmail.com Shima Haghani Nursing and Midwifery Care Research Center, Tehran, Iran Iran shima_haghani@yahoo.com No Keyword 4.pdf [0]Bresesti I, Folgori L, De Bartolo P.Interventions to reduce occupational stress and burn out within neonatal intensive care units: a systematic review. Occup Environ Med. 2020;77(8):515-9. 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1 Determinants of Health-Related Quality of Life Among Nurses in Palestinian Hospitals https://brieflands.com/journals/semj/articles/165878 10.5812/semj-165878 1 Background :Quality of life is a key indicator of general well-being connected to social, emotional, physical, and environmental factors. Objectives :To evaluate the health-related quality of life among nurses employed by Palestinian hospitals. Methods :A cross-sectional study was conducted between January and March 2024. Data were collected from nurses at Palestinian hospitals across the northern, central, and southern regions of Palestine. Data on sociodemographic, professional, and health-related factors were collected, and quality of life was assessed using the Short Form-12 (SF-12) scale, which measures both physical and mental health components. The required sample size was 374 nurses; however, due to an 80% response rate, 301 nurses were included using a convenience sampling method. Statistical analyses included descriptive statistics, independent t-tests, and one-way analysis of variance (ANOVA) to examine group differences. Results :The mean physical health score was 43.0 ± 10.4, indicating below-average physical well-being, while the mean mental health score was 50.2 ± 17.1, near the population norm. Both physical and mental health components were significantly associated with socioeconomic and occupational variables (income and workplace), age, and intention to leave the hospital (all P ≤ 0.042). Gender was only important in the case of mental health (P = 0.049), and marital status did not show any significant relationship with physical health (P = 0.088) but was significant with mental health (P = 0.033). Conclusions :The study highlights suboptimal health-related quality of life among Palestinian nurses, with greater challenges in physical health compared to mental health. 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